License holder summary

BLAINE , JACOB EDWARD is a Department Of Health - Physical Therapist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 10/19/2005 and expired on 09/30/2006.

Department of Health

Board of Medical Examiners

BLAINE , JACOB EDWARD
Department Of Health - Physical Therapist
License number
7424
Date granted
10/19/2005
Date expires
09/30/2006
Class
Department Of Health - Physical Therapist
Status
Expired
Address
medicaltn.com
ID 42315958
LAST UPDATED 2024-04-22 05:31:24 UTC

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